| NPI | 1558005256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 105583) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC14036) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |